Elements of cultural competence in an Australian Aboriginal maternity program

Background

Pregnancy, labour and neonatal health outcomes for Australian Aboriginal women and their infants are frequently worse than those of the general population. Provision of culturally competent services may reduce these differences by improving access to timely and regular antenatal care. In an effort to address these issues, the Aboriginal Maternity Group Practice Program commenced in south metropolitan Perth, Western Australia, in 2011. The program employed Aboriginal Grandmothers, Aboriginal Health Officers and midwives working in a partnership model with pre-existing maternity services in the area.

Identity processes and the positive youth development of African Americans: an explanatory framework

This chapter presents Spencer's phenomenological variant of ecological systems theory, or PVEST (1995), as a conceptual framework for examining positive youth development. Contextual factors affecting racial and gender identity of African American youth are discussed, with the focus on the influence of schools and religious institutions.     

A Sociological Alternative to the Psychiatric Conceptualization of Mental Suffering

Uncovering both the structural causes and experiences of suffering is a central sociological endeavor. Sociologists study many different kinds of suffering; after all, strife is experienced both physically and emotionally, because of internal factors such as illness, due to external factors such as trauma, and as a result of economic, political or natural environments. In this paper, I address one form of suffering: mental suffering. In particular, I describe the medicalization of mental suffering in biological psychiatry, which focuses on the genetic factors of illness and equates mental suffering with mental illness. The psychiatric concept of mental illness highlights the continuing, crucial role for sociology in both understanding the experience and identifying the structural roots of suffering. Since the dominant conceptualization of mental suffering is as a medical concept, it is vital for sociology to offer alternative explanations and contribute to a multidimensional analysis. The roots of mental suffering are much more than biological; social comparison, social inequality, and other social stressors are equally important etiological considerations. Therefore, a true understanding of mental suffering requires multiple perspectives, and sociological constructs guard against a total medicalization of mental suffering.     

阿尔茨海默症患者认同维持的叙事研究

利用在自然氛围下的谈话去理解阿尔茨海默症患者的自我意识和认同的产生、维系和保持.认为如果有人和阿尔茨海默症患者进行互动和交流.他们能持续表达他们的自我意识,维持他们的自我认同.运用生命历程模式.人们看到个人生命的主旋律主要取决于目前的选择和模式.这些选择和模式源于同时也基于更早的选择和经历.     

Older rural women as recipients and providers of social support

The literature on serving the rural elderly has focused on rural elders primarily as passive recipients of care. This article views rural older women as active manipulators of the social support system within which they meet their perceived needs and the needs of others in their social network. It is based on the findings of a multi-phase qualitative study of 30 older women in central Minnesota. Data were collected through life history interviews, in-depth structured interviews, observation and network analysis profiles. The informants relationships with family, friends, neighbors and formal service providers are discussed. Implications for formal service delivery to rural elders are explored.     

A call for greater attention to the role of employers in developing,transforming, and implementing family policies

The authors contend that employer-initiated workplace policies should be considered as part of the patchwork that constitutes U.S. family policy. To provide a background, historical evidence of employer-initiated policies intentionally used as family policies is summarized. The view is then explicated that failure to take economic conditions and workplace policies into account may lead to faulty conclusions about the reasons for major changes in family life. The current status of selected employer-initiated workplace policies and recent trends is summarized. Next, some of the dilemmas inherent in considering connections between government- and employer-initiated policies are identified. Finally, suggestions for future directions are offered. The article should be considered with the following caveat in mind: the focus is exclusively on the influence of policies on families, but families are not merely reactive. She received her Ph.D. and M.B.A. from The Pennsylvania State University. Her research interests center on relationships between jobs and family life, with emphasis on work-family relationships in small businesses, and on adult workers as developing individuals. Her research interests focus on the intersection of social problems and family problems, including families and work, coping with unemployment, and adult children as caregivers of dependent parents. She received her Ph.D. from Purdue University.     

Children's Appraisals of their Experiences in Out-of-Home Care

Few studies have asked children directly about their experiences in out-of-home care. This study uses data collected from 180 nine- to-11-year-old children currently in out-of-home care who were asked about their perceptions and appraisals of out-of-home care. Analysis of variance and chi-square analyses were used to examine whether children's appraisals of their lives following removal from their families of origin differ as a function of age, gender, race/ethnicity, type and severity of maltreatment, length of time in out-of-home care, placement type, attachment to current caregivers, and rating of current caregiver/home. Youth who were sexually and emotionally abused, youth who were satisfied with their current caregivers and placements, and girls were more likely to state that their lives would have been worse had they remained with their families of origin. Youth who were physically abused were more likely to report that their lives would have remained the same. Children living in group care were more likely than those living in family foster care or with kin to report that their lives would have been better had they remained with their families of origin. Differences were not found between children living in family foster care and those living with kin nor did children's appraisals differ based on age, race, ethnicity, length of time in out-of-home care, neglect, or severity of maltreatment.     

Distributional effects of international commodity price stabilization: Do the aggregate gains apply to individual producing countries?

This paper demonstrates the different producer gains and losses that can occur from a price stabilization scheme in a same market. An international buffer stock model integrated in a trade flow model of commodity exports of the Latin American economies is used to simulate two representative products: coffee, where instability in the world market has originated mainly from changes in supply, and copper, where the major source of world market disturbances have been demand shifts. The results show that global generalizations as to the net benefits or costs of price stabilization are erroneous at the producer country level in supply or supply/demand dominated instability, a condition that typifies many primary commodity markets.